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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Study of Functional and Radiological Outcome in Elderly Patients with Unstable Intertrochanteric Fractures, Managed with Long Cephalo‐Medullary Nail

C. Mukil, Somasekar , R. Sivakumar, M. Chidambaram and S. I. Kumareswaran
Page: 850-854 | Received 25 Jul 2023, Published online: 11 Aug 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.850.854

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Abstract

Intertrochanteric fractures are becoming increasingly common among elderly. It leads to loss of functional independence. Early surgical intervention and proper medical care can decrease the mortality in elderly patients with intertrochanteric fractures. Present study was aimed to study functional and radiological outcome in older patients with unstable intertrochanteric fractures, managed with long cephalo‐medullary nail. Present study was single‐center, prospective, observational study, conducted in patients >55 years, either gender, undergoing primary surgery for unstable types of fracture pattern AO/OTA type 31A2 and 31A3. In present study, 39 cases were studied. The fractures were classified according to AO/OTA classification 51.3% of patients were under 31A2.2 category. Fracture union time was assessed using reborne union score, maximum score is 16. Score above 11 can be considered as acceptable union. Mean Modified Harris hip score at the end of twelve months was 83.5 which falls in the good category. Mean parker mobility score at last follow up was 7.3. About 10 patients showed no decline in parker mobility score, 21 patients had a decline of 1 point, 6 patients had a decline of 2 points, 1 patient had 3 point decline and 1 patient had a decline of 5 points. The average parker mobility score had a decline of 1 which corresponds to the good outcome category. About 80% of the patient with CAL TAD value between 20‐25 has shown good outcome, which is of statistically significant (p = 0.001). There is significant increase in fracture union time with CALTAD score less than 20 and more than 25, which is of statistically significant (p = 0.002). The load sharing effect of the intramedullary implant also helps in taking the load off the medial fracture fragments. Long implants will provide more axial and rotational stability.

How to cite this article:

C. Mukil, Somasekar , R. Sivakumar, M. Chidambaram and S. I. Kumareswaran. Study of Functional and Radiological Outcome in Elderly Patients with Unstable Intertrochanteric Fractures, Managed with Long Cephalo‐Medullary Nail.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.850.854
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.850.854